MEDICARE: DANIELA OZARCHEVICI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	ALH-4698	AZ

General Provider Information

NPI Number	:	1588656425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANIELA OZARCHEVICI

Provider Business Mailing Address
First Line	:	1917 E PRESIDIO RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5033
Country	:	US
Telephone Number	:	480-383-3522
Fax Number	:	480-747-9665

Provider Business Practice Location Address
First Line	:	1917 E PRESIDIO RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85022-5033
Country	:	US
Telephone Number	:	480-383-3522
Fax Number	:	480-747-9665

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. DANIELA OZARCHEVICI
Credential	:
Telephone Number	:	602-315-2951

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	07/02/2008

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